Healthy, Vibrant Communities
Through Urban Design
S-469 : APA 2012 National Planning Conference
PAUL LORD
SF Planning
MEG WALL
SF DPH
KAMALA SUBBARAYAN Perkins+Will
Learning Objectives
• What is the HDMT?
• How can it be used?
• Engaging government + private sector
Planning and Public Health Started Together
Disciplinary Divergence
Our Problems Have Changed
Joining Forces Again
• Collaborative, consensus-based health impact assessment to analyze how development in three SF neighborhoods affected health
• Facilitated by SFDPH
• Multi-stakeholder Community Council guided process
• >20 organizations and government stakeholders
• 18-month process resulting in Healthy Development Measurement Tool
Eastern Neighborhoods Community Health Impact
Assessment (ENCHIA)
Goal: To support comprehensive and health-responsive planning using a systematic method
Method: Multi-objective, voluntary evaluation metric that uses measurable indicators and targets to evaluate development
HDMT: The Healthy Development
Measurement Tool
Elements
HDMT: 4 Primary Components
1. Urban Health + Sustainability Indicators
2. “Healthy Development” Checklist
3. Menu of Policies + Design Strategies
4. Catalogue of Evidence + Standards
• Data for San Francisco in the forms of maps and tables, usually disaggregated by neighborhood
• Over 100 indicators that are:
– Important to community
– Actionable by development
– Routinely measured over time and collectable
– Understandable
Urban Health & Sustainability Indicators
Objective PI.5 Increase park, open space and recreation facilities
Development Checklist
Development targets that can be used to evaluate whether urban plans
and projects help achieve community health objectives.
Policy and Design Strategies
Evidence based methods with implementation documentation that will help
achieve Community Health Objectives and influence indicators in a positive
way.
Evidence and Standards
Research and standards that provides evidence for the link between the
community health objectives and health outcomes as well as policies and
goals established by government agencies that advance the community
health objectives.
How do all of the components work together?
Health & Sustainability Indicator
Density of off-sale alcohol outlets
HDMT
Full Application
Health Based Evidence
A high density of alcohol outlets is
associated with violent crime
Health Element Social Cohesion
Community Health Objective
Promote socially cohesive neighborhoods
free of crime and violence
Development Target Does the project disallow new off-sale alcohol
outlets within 1,000 ft. of sensitive uses?
Policy & Design Strategy
Do not issue a new liquor license when an
alcohol outlet goes out of business,
especially in areas with high alcohol outlet
densities
Baseline Data
Applications and Adaptations
SFDPH Full Applications
• HOPE SF: Potrero Terrace & Annex, Sunnydale & West Side Courts
• E. Neighborhoods Rezoning, Area Plans
• Western SoMa Community Plan
• Executive Park SubArea Plan
SFDPH Partial Applications
• Treasure Island Community Transportation Plan
• Bernal Heights Preschool
• General Plan Updates: Housing & Parks, Recreation, and Open Space Elements
• Trust for Public Land – Parks for People Renovations
External Adaptations: Humboldt County General Plan Richmond General Plan Berkeley Dept. of Health Denver Public Housing U Texas Med, Galveston W. Oak/Jack London Gateway Philadelphia Internationally: Geneva, Balearic
Islands (Spain), South Korea
Accolades: NACCHO Model Practice Award Profiled in APA Planner magazine,
PolicyLink report, Unnatural Causes National Action Toolkit
Trained over 300 in past 4 yrs.
Introduction
• Board of Supervisors introduces
legislation creating Western
SoMa Citizens Planning Task
Force
– Board of Supervisors Ordinance 206-
06 in June 2006
– Community-based planning process
initiated 2007
• The Task Force publicly
discusses issues and publishes
a plan
– Focus on committee work (regular
monthly meetings for three years)
– Publication of background Strategic
Analysis Memos documents and Draft
Plan
– A Proposal for Citizens Review (2008)
Three Facilitated Town Hall Meetings with the
Greater SoMa Community (2007-2008)
HDMT & THE COMMUNITY PLAN
• Task Force has worked from the first day with Department of Public Health to include HDMT analysis and recommendation in the Plan.
• Goal of HDMT is to support comprehensive and health-responsive planning.
• Department of Public Health has used the HDMT to review the Plan, with a checklist that incorporates community health indicators and development targets.
HDMT CHECKLIST #1
Utilized the Development Checklist in 2 Stages
SFDPH applied the HDMT Development Checklist to
draft elements of the Community Plan (Winter 2008)
• Judged extent to which Plan objectives, policies, implementing actions would meet the development targets
• Made line-item recommendations directly into the draft Plan elements
• Re-evaluated draft elements with the Checklist, showing how targets would be met if recommendations accepted
• Provided testimony to the San Francisco Planning Commission regarding the incorporation of HDMT-based recommendations into the Plan (September 2008 & November 2011)
HDMT CHECKLIST #2
Utilized the Development Checklist in 2 Stages SFDPH evaluates the entire Draft Plan using a revised version
of the Development Checklist (November 2008)
• Many revisions had been made to the Plan based on multiple constituencies.
• SFDPH evaluated the revised Plan
• Made final recommendations to address unmet HDMT targets
• February 2009 – Provided additional comments and responses in response to public comment suggesting removing/amending health protective/promoting policy
Examples of Incorporated HDMT Language
Modifications
OLD
• Work with the Departments of Public Health and Building Inspection to develop new Building Code requirements to mitigate ambient air pollution hazards.
• New development should not result in a net loss of open space.
REVISED
• Endorse health and Building Code amendments to protect residents and users in sensitive uses from traffic-related pollution hotspots.
• New development shall not result in a net loss of publicly accessible open space.
Design Example
For a proposed major three acre development site in the neighborhood, careful attention was paid to the location of the publically accessible open space and the need to buffer new residents from fixed noise generators.
Design Example
In efforts to maintain solar
access in the urban design
controls for the ceremonial
neighborhood commercial
street, shadow analysis and
set-back considerations
shaped street wall heights
and setback controls.
HDMT – Healthy Development Measurement Tool
Award Winning Plan
Cityside Isla
nd
Cen
ter
LEED-ND / Clinton Climate Initiative
Source: Treasure Island / YBI Sustainability Plan, Credit: Arup
HDMT – Transportation Element
HDMT – Healthy Development Measurement Tool
March 2009
San Francis co Department of Public Health and
The San Francisco Bicycle Coalition
HDMT - Summary Graph
HDMT – Healthy Development Measurement Tool
HDMT Checklist
HDMT – Healthy Development Measurement Tool
Environmental Stewardship
Sustainable Transportation
Social Cohesion
Public Infrastructure
Adequate and Healthy Housing
Healthy Economy
Environmental Stewardship
• Natural Resources
• Natural Habitats
• Energy
• Water
• Waste
HDMT Checklist
Natural Resources
HDMT – Healthy Development Measurement Tool
Natural Habitats – The Wilds
HDMT – Healthy Development Measurement Tool
1. Boardwalk
2. Trails
3. Primitive Camp Sites
4. Wetland
5. Windrows
Energy
HDMT – Healthy Development Measurement Tool
Source: Treasure Island / YBI Sustainability Plan, Credit: Arup
Water
Source: Treasure Island / YBI Sustainability Plan, Credit: Arup
Waste
Source: Treasure Island / YBI Sustainability Plan, Credit: Arup
• Density
• Pedestrian Network
• Bicycle Facilities
• Transit Service
• Parking
Sustainable Transportation
HDMT Checklist
Density
Pedestrian Network
HDMT – Healthy Development Measurement Tool
Shared Public Way
Bicycle Facilities
HDMT – Healthy Development Measurement Tool
Transit Service
HDMT – Healthy Development Measurement Tool
Parking
• Everyone Pays
• Metered On street parking
• Shared parking for efficiency
• Strictly enforced and monitored
• Pricing to encourage use of other
modes
• Sufficient parking necessary for
viability of commercial/retail
Commercial Parking
Minimize Automobile Impacts
• Unbundled from sale or rent of unit
• 1 parking space per unit
Residential Parking
Pricing and Management
Social Cohesion
• Socially Cohesive Neighborhoods
• Public Participation
HDMT Checklist
Socially Cohesive Neighborhoods
10 Years+
Active CAC
Multiple Meetings
Conceptual Master Plan 2006 Block Analysis 2009 Design for Development 2009
Public Participation
Public Infrastructure
• Community services
• Open Space
• Urban Agricultural Park
HDMT Checklist
Community services
HDMT – Healthy Development Measurement Tool
Open Space
HDMT – Healthy Development Measurement Tool
Urban Agricultural Park
HDMT – Healthy Development Measurement Tool
1. Pathways with Gathering Spaces
2. Composting Center and Maintenance Facility
3. Windrows
4. Greenhouse Facility
5. Pathways
Adequate and Healthy Housing
• Affordable Housing
HDMT Checklist
Affordable Housing
HDMT – Healthy Development Measurement Tool
Healthy Economy
• Jobs to Housing Balance: Employment
Opportunities
HDMT Checklist
Employment Opportunities
HDMT – Healthy Development Measurement Tool
• 2000+ new construction jobs and 2500+ new permanent jobs created
• New hotel, commercial and recreational uses attract visitors and generates new revenues for City
• Private sector experience leveraged through public private partnership
• Implementation of an economically viable Project results in a long term positive impact on the City’s general fund
• Very Few Not Applicable –
Unusual
• Insufficient data – different
checklist for different scales of
projects, taking into account
time
• Integration of HDMT + LEED-ND
• Policies for Public Agencies Vs.
private developers or project
sponsors
What Have We Learned?
Environmental Stewardship
0%
Sustainable Transportation
21%
Social Cohesion,
10%
Public Infrastructure
38%
Adequate & Healthy Housing
75%
Healthy Economy
55%
Percentage of Insufficient Data Per Category
• Systematic, evidence-
based approach
• Facilitates healthy long-
term planning
• Leads to lasting
partnerships
– But…can be a challenge
getting there
What Have We Learned?
• Simplifying
• Open data
• Accessibility
• Deepening and expanding
relationships
Where Do We Go From Here?
Recreation Space Access Discussion
• How do the following in
SOMA compare to the
rest of the city?
– Good school access?
– Recreation space
access?
– Good banking access?
– Pedestrian injury rates?
Assessing Community Health with HDMT Indicator Data
Strategy: Encourage collaboration among the School District facility planners, developers, and the City Planning Department when choosing new school sites to ensure that students and their families can safely and easily walk, bike, or take transit to the campus.
Quality School Access
Strategy: Create an open space impact fee on development to provide funds for purchase of new open space, and maintenance and programming of new and existing open space.
Recreation Space Access
Strategy: Restrict the proliferation of predatory lenders via zoning restrictions and other land use tools.
Recreation Space Access Bank Access
Strategy: Improve pedestrian safety through design strategies such as traffic calming and management treatments, traffic safety enforcement, intersection, roadway and sidewalk design, design for pedestrians with disabilities, signals and signs, and improved lighting.
Recreation Space Access Pedestrian Injuries